| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $241.90 | $241.90 | $622.03 | |
Aetna
| Professional | $241.90 | $324.83 | $324.83 | |
BCBS
| Professional | $520.16 | $696.32 | $777.53 | |
Cigna
| Professional | $396.89 | $396.89 | $582.66 | |
Medica
| Facility | $207.34 | $269.54 | $622.03 | |
Medica
| Professional | $207.34 | $501.08 | $691.14 | |
United
| Professional | $145.13 | $414.68 | $663.84 |